Individual
HANNAH NICOLE HOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
604 W STANFORD ST, SPRINGFIELD, MO 65807-1924
(573) 776-0474
Mailing address
604 W STANFORD ST, SPRINGFIELD, MO 65807-1924
(573) 776-0474
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2023035428
MO
Other
Enumeration date
11/08/2023
Last updated
03/13/2024
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